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Lessons learned in replicating data-driven experiments in multiple medical systems and patient populations
2013
AMIA Annual Symposium Proceedings
In this paper we describe the results of replicating a data-driven experiment to infer possible causes of congestive heart failure and their timing using data from two medical systems and two patient populations ...
We focus on the difficulties faced in this type of work, lessons learned, and recommendations for future research. ...
Acknowledgments This study was supported by NLM contract HHSN276201000024C (NE) and the NSF under Grant #1019343 to the Computing Research Association for the CIFellows project (SK). ...
pmid:24551375
pmcid:PMC3900216
fatcat:eidghutd75h7dl4dq5nwc5ftlq
Opportunities to Improve Population Health by Integrating Governmental Public Health and Health Care Delivery: Lessons from the ASTHO Million Hearts Quality Improvement Learning Collaborative
2015
NAM Perspectives
In one example, New Hampshire's learning collaborative team benefited from Cheshire Medical Center/Dartmouth-Hitchcock Keene's experience integrating community and clinical partners and increasing patient ...
Each state in the ASTHO learning collaborative identified a need to improve its ability to achieve data-driven action. ...
doi:10.31478/201502e
fatcat:3l2ksywmc5fkfh2kcis5hxt2ha
When Past Isn't a Prologue: Adapting Informatics Practice During a Pandemic
2020
JAMIA Journal of the American Medical Informatics Association
Building upon our recent experiences, we present four critical lessons-learned that have helped shape our scalable, data-driven response to COVID-19. ...
We describe each of these lessons within the context of specific solutions and strategies we applied in addressing the challenges that we faced. ...
Dennis Goldfarb and Rachel Komeshak for their input and contributions. ...
doi:10.1093/jamia/ocaa073
pmid:32333757
pmcid:PMC7188126
fatcat:qmode5v6bjhf3jlkxlchzv7nli
Lessons Learned from Applying a Modified Learning Collaborative Model to Promote Change in Regional and Statewide HIV Care Systems
2018
Aids and Behavior
Our findings provide key lessons and present considerations for replication for use of a modified Learning Collaborative to achieve state-level systems change. ...
The Health Resources and Services Administration Special Projects of National Significance launched the Systems Linkage and Access to Care for Populations at High Risk of HIV Infection Initiative in 2011 ...
The purpose of this article is to describe the application of a modified Learning Collaborative model using a systems-level approach, associated lessons learned and explore considerations for replication ...
doi:10.1007/s10461-018-2176-4
pmid:29936605
fatcat:yeeqqnqxrvbk7jr4ncgv3coaxq
Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia
2017
BMC Health Services Research
AHI PHIT Partnership Collaborative; Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and ...
Increasing data-driven decision making was a common strategy in Mozambique, Rwanda and Zambia. ...
lessons learned across 7 years of implementation experience in Mozambique, Rwanda, and Zambia for promoting data-driven quality improvement DQA Data quality assessment, RHIS Routine Health Information ...
doi:10.1186/s12913-017-2661-x
pmid:29297319
pmcid:PMC5763308
fatcat:wxoohdbw2bamtehxvpmvzl2wsa
Collecting, Integrating, and Disseminating Patient-Reported Outcomes for Research in a Learning Healthcare System
2016
eGEMs
Therefore, it is important to share lessons learned in implementing PROs in research information systems. ...
Therefore, it is important to share lessons learned in implementing PROs in research information systems. ...
Independent Research Grants for Learning and Change, GM0342. We thank Scott Sortino and other members of the University of Florida IDR team for their contributions to this manuscript. ...
doi:10.13063/2327-9214.1240
pmid:27563683
pmcid:PMC4975567
fatcat:hqh62w5tzjeoxhqfozgp4x3koi
Creating World-Class Care and Service for Our Nation's Finest: How Veterans Health Administration Diffusion of Excellence Initiative Is Innovating and Transforming Veterans Affairs Health Care
2019
The Permanente Journal
care, and 4) interactive and patient-centered care. ...
In addition, I outline the primary components of the current transition plan to elevate lessons learned and transform the initiative from a nascent start-up to a sustainable part of the Veterans Health ...
An interdisciplinary clinical team at the Bay Pines VA Healthcare System in Bay Pines, FL, implemented a patient-driven, direct-scheduling process to address a bottleneck for audiometric and optometric ...
doi:10.7812/tpp/18.301
pmid:31634111
pmcid:PMC6836558
fatcat:ggwhrbpngfawrm46brtra6tzz4
Developing Ethical and Sustainable Global Health Educational Exchanges for Clinical Trainees: Implementation and Lessons Learned from the 30-Year Academic Model Providing Access to Healthcare (AMPATH) Partnership
2020
Annals of Global Health
There is strong interest among healthcare trainees and academic institutions in global health rotations. ...
The article takes the experiences of the AMPATH partnership and offers practical strategies for implementing similar partnerships based on previously published ethical principles. ...
Lydia Fischer for her work in collecting early information for this paper. ...
doi:10.5334/aogh.2782
pmid:33178558
pmcid:PMC7597575
fatcat:4ntiqibbdzdn3mhdnz34z25w5a
Online randomized controlled experiments at scale: lessons and extensions to medicine
2020
Trials
experiments is approaching zero and the value for data-driven decision-making is broadly recognized. ...
This is an overview of key scaling lessons learned in the technology field. ...
Acknowledgements We wish to thank members of Microsoft's Analysis & Experimentation team and LinkedIn's experimentation team for their involvement in many of the experiments discussed here. ...
doi:10.1186/s13063-020-4084-y
pmid:32033614
fatcat:eiefj6vyufcc7kevdswaebo42y
Practice Variation, Bias, and Experiential Learning in Cesarean Delivery: A Data-Based System Dynamics Approach
2013
Health Services Research
The repetitive nature of medical decision making, learning from past practice, and accumulating experience can account for increases in CD decisions and practice variation across physicians. ...
Variation in CD rates is related to the way that physicians learn from outcomes of past decisions and accumulate experience. Conclusions. ...
This process of feedback and learning may lead to practice divergence despite identical initial states and patient populations. ...
doi:10.1111/1475-6773.12040
pmid:23398502
pmcid:PMC3626332
fatcat:7ivf2imdtrhgbps4e2cbjmpicy
Community Oncology Medical Homes: Physician-Driven Change to Improve Patient Care and Reduce Costs
2015
Journal of Oncology Practice
We report our early experience and lessons learned. ...
Using feedback from practice sites, we highlight patient-centered innovations and overall lessons learned. ...
Lessons Learned Implementing medical homes in community medical oncology practices has required that both IOBS, the managing organization, and the participating oncology practices commit to shared learning ...
doi:10.1200/jop.2015.005256
pmid:26220931
fatcat:unokirh4tve6ho2xwwzufei6xu
Contributions on Clinical Decision Support from the 2018 Literature
2019
IMIA Yearbook of Medical Informatics
The first paper introduces a deep learning model for estimating short-term life expectancy (>3 months) of metastatic cancer patients by analyzing free-text clinical notes in electronic medical records, ...
While there is currently a trend for data-driven decision support, the promising results of such approaches still need to be confirmed by the adoption of these systems and their routine use. ...
Acknowledgement We would like to thank Martina Hutter and Adrien Ugon for their support, as well as the external reviewers for their participation to the selection process of the Decision Support section ...
doi:10.1055/s-0039-1677929
pmid:31419825
pmcid:PMC6697519
fatcat:r6zkcrliobh45akh2ang6uuy6u
EHR Implementations in Healthcare Practices: Lessons from Two Case Studies
2014
Americas Conference on Information Systems
This framework is comprised of the selection process, the implemented Institute of Medicine (IOM) core functionalities, the meaningful use stages, and the lessons learned and barriers faced for further ...
As electronic health records (EHRs) are becoming an integral part of the American Healthcare System, understanding their adoption processes and the associated barriers is of great importance. ...
Acknowledgements We wish to express a sincere thank you to the two key informants who so graciously agreed to participate in our data collection. Without them this study would not have been possible. ...
dblp:conf/amcis/AlrigeAPC14
fatcat:qf3l5wx2yfdhhe76skowdmq7za
Implementing learning health systems in the UK NHS: Policy actions to improve collaboration and transparency and support innovation and better use of analytics
2019
Learning Health Systems
Learning health systems (LHS) use digital health and care data to improve care, shorten the timeframe of improvement projects, and ensure these are based on real-world data. ...
Although there are examples of some aspects of LHS in the UK NHS, it is hard to find examples where there is a continuous cycle of improvement driven by information and where analysis of data and implementing ...
However, in the context of an LHS that is aiming to link multiple sources of patient level data, the task of linking data across multiple systems is challenging if these are held by different organisations ...
doi:10.1002/lrh2.10209
pmid:31989031
pmcid:PMC6971118
fatcat:fh47mwkdhrdv5k3p4oso5rtkhm
Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)
2017
Journal of the Royal Army Medical Corps
This paper provides the definitive record of the UK Defence Medical Services (DMS) lessons from the organisation of medical services in support of Operation (Op) TELIC (Iraq) and Op HERRICK (Afghanistan ...
The list of lessons was reviewed through three Military Judgement Panel cycles producing the single synthesis 'the golden thread' and eight 'silver bullets' as themes to institutionalise the learning to ...
The detail of HOSPEX was covered in a themed edition of the Journal of the Royal Army Medical Corps in 2008. 44 This system has been replicated by other nations 45 and was critical to the safe operation ...
doi:10.1136/jramc-2016-000720
pmid:28062527
pmcid:PMC5629939
fatcat:cxcn26sjvbgzblspd35vbrx2gy
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